An older patient with diabetes mellitus reports difficulty sleeping. Which manifestations should the nurse recognize as being related to sleep deprivation? (Select all that apply.)
a. Fatigue
b. Anxiety
c. Irritability
d. Hyperactivity
e. Persistent hunger
f. Decreased pain sensitivity
ANS: A, C
A. C. Lack of sleep leads to fatigue, irritability, increased sensitivity to pain, and increased likelihood of accidents. B. D. E. F. Anxiety, hyperactivity, persistent hunger, and decreased pain sensitivity are not manifestations associated with sleep deprivation.
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The nurse is reinforcing teaching for a patient who has osteoporosis and is being taught complications that can occur from osteoporosis
Which of these, if stated by the patient, indicates to the nurse correct understanding of a complication of osteoporosis? a. "Hip fracture." b. "Increased bone density." c. "Overgrowth of bone." d. "Bone spur formation."
In which of the following situations would the care team be most likely justified in superseding the desires of the older adult client in question?
A) Mrs. J persists in smoking cigarettes despite her emphysema and dependence on oxygen by nasal prongs. B) Mr. L is adamantly opposed to placement in a care facility, despite his progressing dementia and tendency to leave his stove turned on. C) Mrs. B, though denying suicidal ideation, is depressed and has cloistered herself in her apartment for many months. D) Mr. E, despite his family's wishes, does not want any treatment for his recently diagnosed brain tumor.
The nurse is providing care for a patient diagnosed with an increase in afterload and a CVP reading of 7 mm Hg. Which of the following will be included in this patient's plan of care?
1. Provide diuretic therapy as prescribed. 2. Provide plasma. 3. Provide intravenous fluids. 4. Encourage an increase in fluids by mouth.
The parents of a toddler-age child who sustained severe head trauma from falling out a second-story window are arguing in the pediatric intensive-care unit (PICU) and blaming each other for the child's accident
Which nursing diagnosis is most appropriate for this family? 1. Parental Role Conflict Related to Protecting the Child 2. Hopelessness Related to the Child's Deteriorating Condition 3. Anxiety Related to the Critical-Care-Unit Environment 4. Family Coping: Compromised, Related to the Child's Critical Injury